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Clin Geriatr Med. 2016 Aug;32(3):585-607. doi: 10.1016/j.cger.2016.02.004.

Infections in Nursing Homes: Epidemiology and Prevention Programs.

Author information

1
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, 300 North Ingalls Street, Room 905, Ann Arbor, MI 48109, USA.
2
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, 300 North Ingalls Street, Room 905, Ann Arbor, MI 48109, USA; Geriatrics Research Education and Clinical Center, VA Ann Arbor Healthcare System, 2215 Fuller Drive, 11G GRECC, Ann Arbor, MI 48105, USA. Electronic address: lonamody@umich.edu.

Abstract

This review summarizes current literature pertaining to infection prevention in nursing home population including post-acute care patients and long-term care residents. Approximately 2 million infections occur each year and more than one-third of older adults harbor multidrug-resistant organisms in this setting. Surveillance, hand hygiene, isolation precautions, resident and employee health programs, education, and antibiotic stewardship are essential elements of infection prevention and control programs in nursing homes. This article discusses emerging evidence suggesting the usefulness of interactive multimodal bundles in reducing infections and antimicrobial resistance, thereby enhancing safety and quality of care for older adults in nursing homes.

KEYWORDS:

Epidemiology; Hand hygiene; Infection control; Infection prevention; Multidrug-resistant organisms; Nursing home

PMID:
27394025
DOI:
10.1016/j.cger.2016.02.004
[Indexed for MEDLINE]

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